NRCME (DOT) Exam 2024 Questions and Answers 100% Verified

NRCME (DOT) Exam 2024 Questions and Answers 100% Verified FMCSA Mission Statement - answerTo reduce crashes, injuries, fatalities involving large trucks/buses Medical Examiner - answerLicensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test FMCSA - answerFederal Motor Carrier Safety Administration NRCME - answerNational Registry of Certified Medical Examiners Commerical Motor Vehicle - answerWeight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding Interstate commerce vs. Intrastate commerce - answerInterstate: multiple states or international Intrastate: within 1 state Who regulates treatment/management and aftercare of substance abuse for drivers? - answerSAP (Substance Abuse Professional) Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? - answerMedical Review Officer Title 49 CFR 391.41 - answerMedical Examiner Report Form - Paperwork completed during DOT physical - Physical exam requirements for driver - Determines if Certificate is granted Title 49 CFR 391.43 - answerDescribes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification - Supporting information to explain 391.41 When was DOT established? - answer1966 Became separate entity on Jan 1, 2000 Motor Carrier Safety Improvement Act of 1999 - answerEstablished DOT as separate federal entity Omnibus Transportation Employee Testing Act of 1991 - answerRequired drug testing for drivers The driver must always keep a copy of ____________________ with them while driving - answerMedical Certificate SPE if applicable Does the driver need to sign a medical release before you release their Medical Certification? - answerNo. Certificate is provided to employer. (Release is required for a copy of medical report form) How many standards are used to determine driver fitness for duty? - answer13 How many standards of "driver fitness for duty" are *discretionary*? - answer9 (according to my review course) - Other sources say 10 and say that T2DM is discretionary How many standards of "driver fitness for duty" are *NON- discretionary*? - answer4 - Vision - Hearing - Epilepsy - T2DM (Some sources say 3 and do not include T2DM) Age requirement for drivers - answer21+ Language requirement for drivers - answerMust be able to read/speak English well enough to read signs, communicate Height/weight requirement for drivers - answerThere is none What is tested for in urine? - answerUSG PRO BLO GLU How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - answer3 years After a reading of Stage 3 hypertension, how often can a driver be certified? - answerOnly every 6 months max - Disqualify until BP <140/90 - 3 month cert if <160/100 and they are initiating treatment for the first time - May certify Q1 year post surgical correction of secondary HTN Which generation of antihistamines should be used for drivers? - answer2nd gen - Nonsedating A driver must wait ___ hours after taking a sedating med before driving - answer12+ hours Urine drug testing includes: - answerMJ Tobacco Amphetamines Cocaine Opiates Which type of stroke only requires a 1 year waiting period? - answerCerebellar or brainstem, which has low risk for seizures